Bundle brunch reentrant ventricular tachycardia with two distinct conduction patterns in a patient with complete right bundle branch block

被引：1

作者：

Enjoji, Yoshihisa ^{[1
]}

Mizobuchi, Masahiro ^{[1
]}

Shibata, Kensaku ^{[1
]}

Ono, Tsuyoshi ^{[1
]}

Funatsu, Atsushi ^{[1
]}

Kanbayashi, Daisuke ^{[1
]}

Kobayashi, Tomoko ^{[1
]}

Nakamura, Shgeru ^{[1
]}

机构：

[1] Kyoto Katsura Hosp, Ctr Cardiovasc, Div Electrophysiol Lab, Nishikyo Ku, Kyoto 6198256, Japan

来源：

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2006年 / 29卷 / 12期

关键词：

bundle branch reentry; bundle branch block; catheter ablation; pacemaker; MECHANISM; ABLATION;

D O I：

10.1111/j.1540-8159.2006.00560.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report a rare case of bundle branch reentrant ventricular tachycardia [BBRVT]. A 67-year-old female was admitted for management of wide QRS tachycardia (right bundle branch block [RBBB] and a southwest axis). The mapping procedure revealed the tachycardia circuit consisted of the left anterior fascicle (LAF) as an antegrade, and the right bundle as a retrograde pathway. She presented RBBB during sinus rhythm. LAF ablation changed the tachycardia configuration to a northwest axis and prolonged the cycle length. Left posterior fascicle ablation terminated the tachycardia, and complete atrioventricular block occurred, which showed the unidirectional conduction over the right bundle.

引用

页码：1438 / 1441

页数：4

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